Psychiatric Nurse Practitioner

About the role

Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate's licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — while maintaining a whole-person approach aligned with Mainspring's mission.

At Mainspring Recovery, we believe that healing from substance use disorder requires addressing the full picture of a person's health — mind and body. Our Nurse Practitioners are essential to that mission. Whether your expertise is psychiatric or medical, your work directly supports patients in one of the most vulnerable and transformative periods of their lives. You will be part of a compassionate, collaborative team dedicated to meeting patients where they are and guiding them toward lasting recovery.

Responsibilities

• Upon admission, conduct a comprehensive specialty-specific intake evaluation: complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systems
• Diagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUD
• Assess suicide/homicide risk and establish a safety plan
• Review current psychotropic medication history and identify medication-assisted treatment (MAT) need
• Establish an individualized psychiatric treatment plan with short- and long-term goals
• Routinely approve continuation of medications upon intake until full assessment can be completed
• Identify and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.)
• Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient's individualized treatment plan
• Participate in interdisciplinary treatment team meetings and case conferences
• Provide clinical consultation to staff regarding the intersection of medical/psychiatric conditions and SUD recovery
• Screen for co-occurring disorders and refer internally or externally as appropriate
• Conduct scheduled follow-up appointments throughout the patient's stay to monitor treatment response, medication efficacy, and overall health status
• Reassess and update the care plan based on patient progress, emerging concerns, or changes in clinical status
• Document all clinical encounters, assessments, and care plan updates accurately and in a timely manner in the EHR
• Monitor vital signs, labs, and diagnostic results; communicate critical values and initiate appropriate follow-up
• Provide patient education regarding diagnosis, medications, side effects, and self-management strategies relevant to SUD recovery
• Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditions
• Conduct medication reconciliation upon admission, during treatment, and at discharge
• Monitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populations
• Utilize the Virginia Prescription Monitoring Program (PMP) as required prior to prescribing controlled substances
• Collaborate with the Medical Director on complex or high-risk medication regimens
• Complete peer-to-